Individual
GERALYNN M MICKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
279 N GROESBECK, MOUNT CLEMENS, MI 48043
(586) 627-0024
(586) 627-0027
Mailing address
70 LAFAYETTE, NEW PASSAGES BEHAVIORAL HEALTH & REHABILITATION, PONTIAC, MI 48342
(248) 338-7458
(248) 338-7513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704122851
MI
Other
Enumeration date
03/21/2007
Last updated
02/07/2011
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